Assassination Records Review Board
Final Determination Notification

AGENCY : HSCA
RECORD NUMBER : 180-10060-10470
RECORD SERIES : STAFF PAYROLL RECORDS
AGENCY FILE NUMBER : , .

December 8, 1995
Status of Document: Postponed in Part

Number of releases of previously postponed information: 6

Reason for Board Action: The Review Board's decision was premised on several factors
including: (a) the significant historical interest in the document in question; (b) the
absence of evidence that the release of the information would cause harm to the United
States or to any individual.

Number of Postponements: 3

Postponements: All the postponements in this document represent Social Security numbers.

| Reason for Board Action: The text is redacted because the public disclosure of the redaction could
reasonably be expected to constitute an unwarranted invasion of personal privacy, and that invasion of
privacy would be so substantial that it outweighs the public interest.

Substitute Language: SSN

Date of Next Review: 2017

Board Review Completed: 10/24/95

ennedy Assassination
ecords Collection Act of

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JFK ASSASSINATION SYSTEM

IDENTIFICATION FORM

AGENCY INFORMATION

AGENCY : HSCA
RECORD NUMBER : 180~-10060-10470

RECORDS SERIES :
STAFF PAYROLL RECORDS

AGENCY FILE NUMBER :

ORIGINATOR :;
FROM :

~ TO

TITLE :

DATE
PAGES -

10/11/77
7

SUBJECTS :
HSCA, ADMINISTRATION
LICHTENFELS, BETH ANNE

DOCUMENT TYPE PRINTED FORM

CLASSIFICATION : U
RESTRICTIONS : 3
CURRENT STATUS : P

DATE OF LAST REVIEW : 06/04/93

OPENING CRITERIA

COMMENTS

Box 2.

[R] - ITEM IS RESTRICTED

| NW 88326
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PAYROLL AUTHORIZATION FORM ee
(Please Use Typewriter ~ Us. HOUSE. OF. REPRESENTATIVES (Any. erasures, corrections, or changes

or Ballpoint Pen) _ Washington, D.C. 20515. authorizing official.)

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action: :

Employee Name (First-Middle-Last) - = | Effective Date

Bath Anne Lichtenfels March 1, i378
_ _Employee Social Security. Number - . .
“9A 33 2-AGO? oO Appointment
SEsSalary Adjustment
- Employing Office or Committee/Subcommittee = =©- .. .| C1 Title Change
. . 0 Termination (At close of business on effective date)

0 Leave without pay (Beginning with effective date above and ending
close of business

Gross Annual Salary*

_* If employee is a civil service onnuitant (includes U.S. House of Representatives), the gross annual salary shown: should include the annuity ‘received by the employee .
plus the salary received from the employing office.

(If Committee Employee, complete appropriate item below.)

- 1. O Standing Committee: Staff—O Clerical or C) Professional.»

.2. EE Special (Investigative staff of Standing Committee) or Select Committee: Authority—H. Res. 2.34 of PERE,
3. 0 Joint Committee.

(If Employee of an Officer of the House, complete item below.).

Position Number______________-_ If applicable, Level

oo. Step___-___.

| certify that this authorization is not. in: violation of .5.U.S.C-"3110(b), prohibiting, the. employment. of-
relatives. a on EE a

Dote___March 14. 19_

- nS PO A Ze ee - ’ -
j (Signature of Authorizing Official)
Fon wn nnn SLES SeORES

(Type or print nome of Authorizing Official)

Chad RETRO 3 a3

{Title - If Member, District and State)

(Type or print-name and title of above official}
All: appointments.and salary adjustments for employees under the House Classification Act and for Committee em- «

ployees, except those of the Committee on Appropriations, the Committee on the Budget; and the Joint Committees, must .:
be approved by the Committee. on House Administration.

APPROVED:

Office of Finance use only:

Office Code

(Revised: August 1, 1977}
' Copy for tnitiating Office-or Committee: ee

‘on this form must be initialed by the .

-Type of Action

rae §

MEMORANDUM.

TO: ALL STAFF.

RE: Payroll Certification

Expenses of Committees, Members and Employees of the U.S. House of

Representatives require that, among other things, the Committee's _
monthly payroll certification include the relationship, if any, of ~~
each employee to any current Member of Congress. This certification —
is signed monthly by our Chairman. .

‘The following are the relationships to. be included in the

certification:
father OS nepnew brother-in-law
mother : . niece og ster-in-law
SON _ husband . >. stepfather
daughter © - _ . wife —  -  *-  gtepmother |
- brother - 7 ‘father-in- ~law - ' stepbrother
sister So : mother-in-law ~.. stepsister
uncle - son-in-law =  - ~~. - half-brother
‘aunt daughter-in-law half-sister -

First cousin

Piease complete the appropriate portion belaw, sign and date
_ tnis form, which will then become a part of your permanent personnel
| _ - file. If this satus changes, you must notify. the Committee's Budget
| Office immediately o the change.

poet

ae {7 1 am related to a current (95th Congress) Member of congress.
} oo. . (Please specify. }

Sarath of PA Sica pe yee ae a Date

‘a 7
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The Regulations and accounting Procedures: for Allowances and


x EMORANDU M

ee

DATE: October 5; 1977

TO: Tom. ‘Howarth, “Budget Officer ~ $f NVQ
FROM: Charlie Mathews, Special Counsel Oe
RE: Ms. Beth AnnéLichtenfels ne | |

Ms. Beth AnnéLichtenfels has accepted the position

of Document Control ‘Clerk with the John F. Kennedy Task :

at
Her effective Starting date will be October X, (1977,

Force.
C - and her starting salary will be ‘$12, 000.00.

Your full co- operation will be appreciated in: familiarizing

Ms. Lichtenfels with staff procedures and welcoming her -

aboard.

-ICM:51

| Docld: 32239478 Page 5 oT oe.


PAYROLL AUTHORIZATION : FORM

To the Clerk of the House of Representatives:

| hereby authorize the following payroll action: ~

Employee Name (First-Middle-Last) ~~ 7 ee Effective Date.

“Beth Anne Lichtenfels 7 October 11, 1977 |

Employee: Social Security Number ae oo... Type of Action

{Appointment

Employing Office or Committee Cl Solory Adjustment

O Termination (At close of business on 1 effective date)

Assassinations

(If type of action is an Appointment or Salary Adjustment; complete the following information.)

Position Title Gross Annual Salary

Document Control Clerk $12,900.60

(If Committee Employee, complete appropriate. item below;)

1. [J Standing Committee: Staff—[] Clerical or {J Professional. .

2. [&] Special or Select Committee: Authority—H. Res _ A685 of 25% Congress. ;
3. [_] Joint Committee.

(If Employee of an Officer of the House, complete item below.)

Position Number_____ eee ___if applicable, Level Ju-22_..Step_______- ;

relatives.

~ (Type or print name of Authorizing Official)

Chairman
eb ; — , : . ; - (Title~If Member, District and State)

: All appointments.and salary adjustments for employees under-the: House Classification-Act and for Committee-em--

- be approved by the Committee on House Administration: .
Chairman, Committee on House Administration
Office of Finance use only:

Office Code

| Docid:32239478 Page 6

(Please Use. Typewriter’ - U.S. HOUSE OF REPRESENTATIVES _. (Any erasures, corrections, or changes- -. .
or Ballpoint Pen) Washington, D.C..20515 - an as form must ve. initialed .by the

|. certify . that this authorization is not-in violation of: 3. USE 310(b), Prohibiting the: employment of...

" ‘ployees, except. those of the Committee on Appropriations, ‘the Committee « on. - the Budget, and the: Joint. Committees; must. -

APPROVED:.___ Ween ee _.

be : . wet 7 . . . aad . . . .
TSG a Ui tenia Malis Rk dated as ih Melly cae ie asa ce tint sc to Quah Ces Sha Diadid stile! ts oi cbaiedits ea de bay

NW 88326 FO ree - a

co RoR OS
thelr mntutitiiatead Dice a tees Scheele Mba See Wein aaktata cabal tiediln mail tie tians aba til cat aI anv ale, (seks one ate ES TONS Uirtl ee nk Moet SEA PeL? eR SCR SEE ERE A Tre a ES Tae nL
n

A
Me

TD (mo., day, year) 7 ane _ Received Notice oer iain ~~

7/19/78 - om | A : aE Te

fo won day; wi

4 1 {37 33. “4

35. Was Employes In Perforinance of Duty At The Time of Injury? 1E:) Yes, Oo No. If No, No, Furnish A Detailed Explanation Ora Copy :
of Employing Agency’ 8 ‘'nvestigation Report ; . t

36. Was Injury Caused By Willful Misconduct, Intoxication or-Intent To Injure Self or Another?

C] Yes pot No. If Yes, Furnish Detailed Report.

Eves.

37. Was Injury Caused By. Third Party?

40. Do Medical Reports Show
Employee is. - Disabled For

38. Date Employee First Obtained
Medical Care for The Injury
(mo., day, year).

13/78

\- 41. Does Your Knowledge of. The Facts About. This Injury. Agree With The Statements of. The Employee. Andon Witness? mena = :
foo . Mo Yes _ C1! No. if No, Furnish A Detailed Explanation. :

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42. Does The "2 Employing ‘Agency C Controvert : Continuation sof Pay? A Yes Ba No. If Yes, Give Full Explanation For Basis of

Controversion (See Item 6 of Instruction Sheet}: Attach Additional Sheets. If More Space 's Needed. ° ce es |

45. Date emo. day, year).

7-%7- 77

; ; - 43. Signayry of Supefvisor, : . £1 44. Title and Office Phone Number

gS Hema 4; —~ | Suds Caffe veel’

ab . mon

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Wi:37239476 Page f

aS

U.S. DEPARTMENT OF LABOR...”
EMPLOYMENT STANDARDS ADMINISTRATION
_OFFICE OF WORKERS’ COMPENSATION PROGRAMS
1. Name of Injured Employes (Last, first, middle)

| 2,Dateof Birth | 3. [_] Mate
LICHTENFELS, BETH ANNE .

. 4. Social Security Number

| 1/5/55 _— ; 042-52-4602 -
. i / / | Female’ .
- 5 Employee’ s Home Mailing Address (No., street, city, state, zip code)

oe 6. Home Telephone
(4401. BAST“WEST-HGWY; “BETHESDA, MD. APT’ 300° ~ eves | AreaCode: 301
of 7 Name a and Address of Employing Agency ;

8. Place Where Injury Occurred (eg... 2nd floor, Main Post Office
House SELECT COMM. ON ASSASSINATIOn S Blog., 12th & Pine)
3rd AND D STREET, S. W.

WASHINGTON... Ds c.

: 654+7184- =.

2nd AND Cc STREET
WASHINGTON, D.C.-

(mo., day, year) ar AM.

AD ‘Dependents.
“(mo., day, year)
7 A 1? Uk 78 |

Clerk

“strap: ‘which- ‘proke-and- tripped
injured employee

torn rotating cuff, torn and bruised

tendons, ligaments and muscles. Skin
burn to, right shoulder _

415. If This. Notice ‘and Claim Was Not Filed With The Employing Agency. Within 2 Working Days After The injury, Explain The Reason -
For The Delay. co, _

16. | certify that the injury described above was sustained in performance of duty as an employee of the United States Government and that
[> ~itwas not caused by my willful misconduct, intent to injure myself or another person, nor by my intoxication. ' | hereby claim medical

‘treatment if needed; and the following, as checked below, while disabled for work:
an! ‘b. Contiuation of regular pay

/ not to ‘exceed 45 days and compensation for wage. » loss if disability “for work: ‘ecntinues beyond 45
-days (if my claim is denied, | understand that the continuation of my regular pay. shall be charged to sick or annual leave, or

| 20. Date Signed
'-feno., day, year)

ae “Rev. Nov. 1974 |
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FEDERAL EMPLOYEE'S NOTICE OF TRAUMATIC INJURY
AND CLAIM FOR CONTINUATION OF PAY/COMPENSATION

: ee = nanan | 12. Employee’s....... |
.. |.» Wife/Husband . fe , Occupation. ©
1% L(18 apy ates y Children Under 18 Years old :

pn NS


.» ours STOKES, ono, CHAIRMAN:
RICHARDSON PREYER, NG. 2}? SAMUEL, L. DEVINE, one.
WALTER E. FAUNTROY, D.C. ~ - _ STEWART B. MCKINNEY, CONN,
YVONNE BRATHWAITE. BURKE, CALIF. ". CHARLES THONE, NEBR. .-:
" -- GHRISTOPNER J. DODD, CONN. HAROLD S. SAWYER, MICK.
HAROLD E. FORD, TENN. _ 5 eo ae
FLOYD J. FITHIAN, IND. -
ROBERT W. EDGAR, PA,

select Committee on Assassinations
- ELS. Bouse ot Representatives

_ 3331 HOUSE OFFICE BUILDING, ANNEX 2.
es WASHINGTON, D.C. 20815

‘September 2 25, “1978

Office of. Workers" Compensation Programs a
* Special Claims Unit:
711 - 14th Street, N. W.
‘Washington, D. C. 20211

Dear Sirs: |
We. are forwarding herewith Form CA~L: for Beth hoe
Lichtenfels ‘an employee of this Committee. We apologize ae
for the late filing but we misread the instructions.
While Miss Lichtenfels did » not require sick or annual |
“leave and the Committee did not controvert continuation
of pay, she did require medical treatment.

Poo In the meantime, . we ‘filed her Foun CAL in her per-~

sonnel file.

“Sinc rely you S,

- THOMAS HOWARTH oO
Budget Officer |

TH: ht |

88326 fo ane

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